CPT 64451 · SI Joint · Alabama Medicaid
SI Joint Nerve Block (S1–S3 lateral branches) at Alabama Medicaid.
How Alabama Medicaid approaches CPT 64451 (SI Joint Nerve Block (S1–S3 lateral branches)) for prior-authorization review: at last review on 2026-05-07, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-07
Criteria summary
High-level themes from the Alabama Medicaid policy of record for CPT 64451. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 2 weeks of conservative care typically required.
Source: Alabama Medicaid Agency
See the full Alabama Medicaid criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →